Event Title

Web-based patient simulation to teach clinical reasoning

Location

Terry

Format

Podium Presentation

Start Date

16-1-2010 9:45 AM

End Date

16-1-2010 10:15 AM

Abstract

INTRODUCTION: The literature suggests frequent exposure to realistic patient scenarios is a key component in the development of clinical reasoning skills. Exposure to real patients may be impractical and unsafe. Computerized patient simulations may be an alternative educational tool to frequently expose students to realistic cases and without harm to patients.

PURPOSE: DESCRIPTION OF INNOVATION We have designed a web-based patient simulation program for physical therapists that allows users to complete a history, examine, diagnose and manage a patient case. The program has limited prompting, provides immediate feedback, and is capable of incorporating images as well as audio and video files.

METHODOLOGY & OUTCOMES A two-group pre/post-test pilot study was completed comparing outcomes on the Health Science Reasoning Test (HSRT). Instruction for one group was three text cases and the other received the same cases in the simulation program. Analysis of variance revealed no significant differences for group or instructional method. However, subscale scores of the HSRT were significantly higher for the simulation group on the evaluation sub scale.

RESULTS & DISCUSSION Preliminary data suggest that further study of web-based simulation to teach clinical reasoning is merited. It is likely the three case dose, was not sufficient to effect a change in clinical reasoning skill. We have designed a follow up study comparing a larger groups of students that will complete six cases in either text or simulation format.

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Jan 16th, 9:45 AM Jan 16th, 10:15 AM

Web-based patient simulation to teach clinical reasoning

Terry

INTRODUCTION: The literature suggests frequent exposure to realistic patient scenarios is a key component in the development of clinical reasoning skills. Exposure to real patients may be impractical and unsafe. Computerized patient simulations may be an alternative educational tool to frequently expose students to realistic cases and without harm to patients.

PURPOSE: DESCRIPTION OF INNOVATION We have designed a web-based patient simulation program for physical therapists that allows users to complete a history, examine, diagnose and manage a patient case. The program has limited prompting, provides immediate feedback, and is capable of incorporating images as well as audio and video files.

METHODOLOGY & OUTCOMES A two-group pre/post-test pilot study was completed comparing outcomes on the Health Science Reasoning Test (HSRT). Instruction for one group was three text cases and the other received the same cases in the simulation program. Analysis of variance revealed no significant differences for group or instructional method. However, subscale scores of the HSRT were significantly higher for the simulation group on the evaluation sub scale.

RESULTS & DISCUSSION Preliminary data suggest that further study of web-based simulation to teach clinical reasoning is merited. It is likely the three case dose, was not sufficient to effect a change in clinical reasoning skill. We have designed a follow up study comparing a larger groups of students that will complete six cases in either text or simulation format.